Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $3,035.29 / $9,437.00	Facility		$377.00	$3,035.29	$9,437.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.46 / $45.29 / $114.53	Facility	52	$30.46	$45.29	$114.53
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $12.18 / $18.12 / $45.81	Facility	53	$12.18	$18.12	$45.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $157.77 / $419.03	Professional		$66.67	$157.77	$419.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $86.16 / $124.37	Professional		$55.59	$86.16	$124.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $487.89 / $1,652.00	Facility		$121.96	$487.89	$1,652.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $184.06 / $424.81	Professional		$72.27	$184.06	$424.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,083.00 / $6,645.00	Facility		$1,894.00	$3,083.00	$6,645.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $144.31 / $311.24	Professional		$72.16	$144.31	$311.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $278.73 / $398.00	Professional		$132.41	$278.73	$398.00
United Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $2,491.00 / $5,015.00	Facility		$390.00	$2,491.00	$5,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $246.24 / $469.17	Professional		$141.35	$246.24	$469.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $113.75 / $113.75	Professional		$55.41	$113.75	$113.75